Book Your FREE Consultation Online

  • Patient Information
  • Appointment Information
  • Appointment Confirmation
Laser vision correction is a life-changing procedure that will improve your vision and change your life. Want to learn more? See how your life begins with LASIK! To determine if you're a candidate for the procedure, all patients are required to undergo a FREE consultation prior to surgery. Simply complete the form below to book your pre-operative evaluation. Please schedule two to three hours to complete this exam.

If you prefer to speak with a LASIK MD Patient Care Representative to book your appointment over the phone, please contact us toll-free at 1-866-961-2020.

LASIK MD takes your privacy seriously. All personal information provided will remain confidential. Read our privacy policy.

*Denotes required field
Title *
First Name *
Last Name *
Date of Birth *

Address *
Country *
Province/State *
City *
Postal Code/Zip *
Email Address *
Preferred Contact Number *
Alternate Contact Number 
Alternate Contact Number 
 Yes, I'd like to receive the latest LASIK MD news and information via text message when this functionality is available. Standard text messaging fees may apply.
About your glasses/contact lenses

Do you wear glasses? *
Do you currently wear contact lenses? *
Type of contact lenses: